Active NPI
Aeolian Vincent-Depaule, B.S.
- Counselor
- Ukiah, CA
National Provider Identifier
1700217247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 270 N Pine St
Ukiah, CA 95482-4334 - Phone
- (707) 391-0434
- NPI assigned
- Dec 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
270 N Pine St
Ukiah, CA 95482-4334
Mailing address
270 North Pine St
Ukiah, CA 95482
Phone (707) 391-0434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1700217247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 NORTH PINE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-391-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 N PINE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824334",
"telephone_number": "707-391-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT-DEPAULE",
"first_name": "AEOLIAN",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.